Pathologic Complete Response to Neoadjuvant Nivolumab/Ipilimumab in a Patient with Metastatic Renal Cell Carcinoma

Nivolumab plus ipilimumab represents an effective combination of checkpoint inhibitors that can lead to a durable response with minimal toxicity in patients with metastatic renal cell carcinoma (mRCC). We present a case of a pathologic complete response to neoadjuvant nivolumab plus ipilimumab in a...

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Main Authors: Taylor C. Peak, Elena M. Fenu, Michael B. Rothberg, Christopher Y. Thomas, Ronald L. Davis, Edward A. Levine
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2020/8846135
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author Taylor C. Peak
Elena M. Fenu
Michael B. Rothberg
Christopher Y. Thomas
Ronald L. Davis
Edward A. Levine
author_facet Taylor C. Peak
Elena M. Fenu
Michael B. Rothberg
Christopher Y. Thomas
Ronald L. Davis
Edward A. Levine
author_sort Taylor C. Peak
collection DOAJ
description Nivolumab plus ipilimumab represents an effective combination of checkpoint inhibitors that can lead to a durable response with minimal toxicity in patients with metastatic renal cell carcinoma (mRCC). We present a case of a pathologic complete response to neoadjuvant nivolumab plus ipilimumab in a patient with a 13.9 cm left renal mass and significant retroperitoneal and iliac lymphadenopathy, classified as intermediate-risk mRCC. We discuss and review the literature on complete responses after systemic therapy and the ability to predict who has undergone a complete response in the face of residual radiographic evidence of disease.
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institution Kabale University
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publishDate 2020-01-01
publisher Wiley
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series Case Reports in Urology
spelling doaj-art-3c5e560514ea4ba0b0ab5d50a2ebab912025-02-03T06:06:46ZengWileyCase Reports in Urology2090-696X2090-69782020-01-01202010.1155/2020/88461358846135Pathologic Complete Response to Neoadjuvant Nivolumab/Ipilimumab in a Patient with Metastatic Renal Cell CarcinomaTaylor C. Peak0Elena M. Fenu1Michael B. Rothberg2Christopher Y. Thomas3Ronald L. Davis4Edward A. Levine5Department of Urology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USADepartment of Pathology, Wake Forest Baptist Medical Center, Winston-Salem NC, USADepartment of Urology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USADepartment of Medical Oncology and Hematology, Wake Forest Baptist Medical Center, Winston-Salem NC, USADepartment of Urology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USASurgical Oncology Service, Department of General Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC, USANivolumab plus ipilimumab represents an effective combination of checkpoint inhibitors that can lead to a durable response with minimal toxicity in patients with metastatic renal cell carcinoma (mRCC). We present a case of a pathologic complete response to neoadjuvant nivolumab plus ipilimumab in a patient with a 13.9 cm left renal mass and significant retroperitoneal and iliac lymphadenopathy, classified as intermediate-risk mRCC. We discuss and review the literature on complete responses after systemic therapy and the ability to predict who has undergone a complete response in the face of residual radiographic evidence of disease.http://dx.doi.org/10.1155/2020/8846135
spellingShingle Taylor C. Peak
Elena M. Fenu
Michael B. Rothberg
Christopher Y. Thomas
Ronald L. Davis
Edward A. Levine
Pathologic Complete Response to Neoadjuvant Nivolumab/Ipilimumab in a Patient with Metastatic Renal Cell Carcinoma
Case Reports in Urology
title Pathologic Complete Response to Neoadjuvant Nivolumab/Ipilimumab in a Patient with Metastatic Renal Cell Carcinoma
title_full Pathologic Complete Response to Neoadjuvant Nivolumab/Ipilimumab in a Patient with Metastatic Renal Cell Carcinoma
title_fullStr Pathologic Complete Response to Neoadjuvant Nivolumab/Ipilimumab in a Patient with Metastatic Renal Cell Carcinoma
title_full_unstemmed Pathologic Complete Response to Neoadjuvant Nivolumab/Ipilimumab in a Patient with Metastatic Renal Cell Carcinoma
title_short Pathologic Complete Response to Neoadjuvant Nivolumab/Ipilimumab in a Patient with Metastatic Renal Cell Carcinoma
title_sort pathologic complete response to neoadjuvant nivolumab ipilimumab in a patient with metastatic renal cell carcinoma
url http://dx.doi.org/10.1155/2020/8846135
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